New hope for hemophilia a: phase 3 trial launches for Next-Gen bleed prevention
NCT ID NCT07416604
First seen Jun 27, 2026 · Last updated Sep 04, 2026 · Updated 5 times
Summary
This study compares a new drug, NXT007, to an existing one (emicizumab) for preventing bleeding episodes in people aged 12 and older with hemophilia A. Participants may have severe, moderate, or mild disease, with or without factor VIII inhibitors. The goal is to see if NXT007 is more effective at reducing bleeds and improving quality of life.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 360 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2026
- Expected to finish
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Jan 2032
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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12 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Diagnosis of severe (FVIII:C \<1 International Unit per decilitre \[IU/dL\]) or moderate (FVIII:C between ≥1 IU/dL and ≤5 IU/dL) congenital hemophilia A with or without inhibitors against FVIII * Diagnosis of mild (FVIII:C between \>5 IU/dL and \<40 IU/dL) congenital hemophilia A with chronic FVIII inhibitors, defined as documented FVIII inhibitor ( ≥0.6 BU/mL or ≥1.0 BU/mL only for laboratories with a historical sensitivity cutoff for inhibitor detection of 1.0 BU/mL) and chronic reduction of endogenous baseline FVIII:C to \<5 IU/dL for ≥12 months * Documented historical FVIII inhibitor assay results within the 12 months prior to enrollment * Documentation of the details of prophylactic and episodic FVIII treatment, bypassing agent (BPA) treatment, emicizumab prophylaxis treatment, and the number and type of bleeding episodes for at least the last 6 months prior to screening * For potential participants taking on-demand treatments prior to study entry: agreement to move to a prophylaxis treatment with either emicizumab or NXT007, according to assigned randomization Exclusion Criteria: * Sensitivity to any of the study investigations, or components thereof, or drug or other allergy that, in the opinion of the investigator, contraindicates participation in the study * Use of systemic immunomodulators (e.g., interferon or rituximab) at the time of enrollment or planned use during the study, except for antiretroviral therapy to treat HIV * Refusal to accept plasma-derived and/or blood product transfusion support in an emergency scenario * Planned surgery (excluding minor procedures, such as non-molar tooth extraction or incision and drainage) during the study * History of ventricular dysrhythmias or risk factors for ventricular dysrhythmias such as structural heart disease (e.g., severe left ventricular systolic dysfunction, left ventricular hypertrophy), coronary heart disease (symptomatic or with ischemia demonstrated by diagnostic testing) * History or presence of an abnormal ECG that is deemed clinically significant, (e.g., complete left bundle branch block, second- or third-degree atrioventricular heart block) or evidence or clinical history of prior myocardial infarction
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
42 sites in 19 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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AP-HP - Hôpital Bicêtre
RECRUITINGLe Kremlin-Bicêtre, Val-de-Marne, 94270, France
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Arbesu Hematologia
RECRUITINGGodoy Cruz, Mendoza Province, M5504FKD, Argentina
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Auckland City Hospital
RECRUITINGAuckland, 1023, New Zealand
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Azienda Ospedaliera Universitaria Careggi
RECRUITINGFlorence, Tuscany, 50134, Italy
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CHU de Lille - Institut Cœur Poumon
RECRUITINGLille, 59037, France
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Center for Inherited Blood Disorders
RECRUITINGOrange, California, 92868, United States
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Chengdu Women's and Children's Central Hospital
RECRUITINGChengdu, Sichuan, 610073, China
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Cliniques Universitaires Saint-Luc
RECRUITINGBrussels, 1200, Belgium
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Debreceni Egyetem Klinikai Kozpont Nagyerdei Campus
RECRUITINGDebrecen, Pest County, 4032, Hungary
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Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
RECRUITINGMilan, Lombardy, 20122, Italy
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Great Ormond Street Hospital
RECRUITINGLondon, WC1N 3JH, United Kingdom
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Gunma University Hospital
RECRUITINGMaebashi, Gunma, 371-8511, Japan
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Haemophilia Comprehensive Care Centre
RECRUITINGParktown, Gauteng, 2193, South Africa
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Hospices Civils de Lyon
RECRUITINGBron, 69500, France
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Hospital Das Clinicas da Faculdade de Medicina de Ribeirão Preto - USP
RECRUITINGRibeirão Preto, São Paulo, 14051-140, Brazil
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Hospital Regional Universitario de Malaga ? Hospital General
RECRUITINGMálaga, 29010, Spain
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Hospital Universitari i Politecnic La Fe de Valencia
RECRUITINGValencia, 46026, Spain
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Hospital Universitario La Paz - PPDS
RECRUITINGMadrid, 28046, Spain
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Hospital Universitario Vall d'Hebron - PPDS
RECRUITINGBarcelona, 08035, Spain
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Hospital Universitario Virgen del Rocio - PPDS
RECRUITINGSeville, 41013, Spain
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Hospital de la Santa Creu i Sant Pau
RECRUITINGBarcelona, 08041, Spain
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IRCCS Istituto Clinico Humanitas
RECRUITINGRozzano, Lombardy, 20089, Italy
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Innovative Hematology, Inc.
RECRUITINGIndianapolis, Indiana, 46260, United States
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Institute of Hematology and Blood Diseases Hospital Chinese Academy of Medical Sciences
SUSPENDEDTianjin, Tianjin Municipality, 301617, China
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Instituto de Hematología Y Medicina Clínica Dr. Rubén Dávoli
RECRUITINGRosario, Santa Fe Province, S2000CFK, Argentina
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Kyungpook National University Hospital
RECRUITINGDaegu, 41944, South Korea
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Nagoya University Hospital
RECRUITINGNagoya, Aiti, 466-8560, Japan
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Nanfang Hospital, Southern Medical University
RECRUITINGGuangzhou, Guangdong, 510515, China
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Nara Medical University Hospital
RECRUITINGKashihara-shi, Nara, 634-8522, Japan
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National Taiwan University Hospital
RECRUITINGTaipei, 10002, Taiwan
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Ogikubo Hospital
RECRUITINGSuginami-Ku, Tokyo, 167-0035, Japan
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Rigshospitalet
RECRUITINGKøbenhavn Ø, Capital, 2100, Denmark
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St Joseph's Children's Hospital of Tampa
RECRUITINGTampa, Florida, 33607-6307, United States
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The Chaim Sheba Medical Center - PPDS
RECRUITINGRamat Gan, Central District, 5262100, Israel
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The Royal London Hospital
RECRUITINGLondon, Middlesex, E1 1FR, United Kingdom
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UZ Leuven
RECRUITINGLeuven, Antwerp, 3000, Belgium
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Universitair Medisch Centrum Utrecht Cancer Center - PPDS
RECRUITINGUtrecht, 3584 CX, Netherlands
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University Hospital of Wales
RECRUITINGCardiff, CF14 4XW, United Kingdom
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University Of Iowa Hospitals And Clinics
RECRUITINGIowa City, Iowa, 52242-1009, United States
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University of Colorado Hemophilia and Thrombosis Center
RECRUITINGAurora, Colorado, 80045-7202, United States
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Universitätsklinikum Bonn
RECRUITINGBonn, North Rhine-Westphalia, 53127, Germany
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Washington Center for Bleeding Disorders
RECRUITINGSeattle, Washington, 98101-3932, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a newer clotting factor keep its effectiveness in hemophilia a?
- Can a new injection tame hemophilia a bleeding?
- A Once-a-Week shot could transform hemophilia Care—Even for those with inhibitors
- Can a new clotting factor offer better bleed protection for severe hemophilia?
- Do newer hemophilia drugs protect joints better? study aims to find out
- Newborn screening study aims to catch rare diseases at birth